Experienced Customer Service Representative - Health Care Support (Part-Time Remote Opportunity)

Join blithequark and Revolutionize the Health Care Experience At blithequark, we're on a mission to simplify the health care experience, creating healthier communities, and removing barriers to quality care. As a Customer Service Representative in our Provider Customer Services team, you'll play a vital role in supporting healthcare providers that care for our members. You'll be the advocate for providers, resolving issues and answering questions in a fast-paced, dynamic environment. About the Role As a Customer Service Representative, you'll be working in a multi-channel environment, handling calls and concurrent chats from healthcare professionals. Your primary goal will be to understand and identify the needs of providers, answering questions, and resolving issues related to benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits, and behavioral health. Key Responsibilities Serve as the advocate for providers by demonstrating accountability and ownership to resolve issues in a timely and efficient manner. Quickly and appropriately triage contacts from healthcare professionals, seeking to understand and identify their needs. Research and dissect complex prior authorization and claim issues, taking appropriate steps to resolve identified issues and avoid repeat calls/messages, escalations, and provider dissatisfaction. Collaborate effectively with multiple internal partners to ensure issues are resolved and thoroughly communicated to providers. Strong multitasking to effectively and efficiently navigate multiple systems to extract necessary information to resolve and avoid issues. Influence providers to utilize self-service digital tools, assisting with navigation questions and selling the benefits of the tool. Essential Qualifications High School Diploma/GED or equivalent work experience. Must be 18 years of age or older. 1 year of customer service experience with analyzing and solving customers' concerns. Experience with computer and Windows PC applications, including the ability to navigate and learn new and complex computer system applications. Ability to type at a speed of greater than or equal to 35-40 WPM with an accuracy of 90%. Ability to work any full-time (40 hours/week), 8-hour shift between the hours of 10:35 AM - 7:05 PM CST from Monday - Friday, with occasional overtime, weekends, and/or holidays based on business need. Preferred Qualifications Prior healthcare experience and knowledge of healthcare terminology. Experience in a related environment (i.e., office, call center, customer service, etc.), using phones and computers as the primary job tools. Soft Skills Ability to multitask, including the ability to type in multiple conversations. Ability to resolve calls and messages, avoiding escalated complaints. Time management skills. Emotional Intelligence and Empathy. Active Listening and Comprehension. Excellent written communication skills. Demonstrated problem-solving, organization, and interpersonal skills. Demonstrated experience consistently achieving quality and productivity standards. What We Offer At blithequark, we offer a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution (all benefits are subject to eligibility requirements). You'll have the opportunity to grow and develop your skills in a dynamic environment, with clear direction on what it takes to succeed in your role and development opportunities for other roles you may be interested in. Our company culture is built on the principles of diversity, equity, and inclusion. We believe everyone deserves the opportunity to live their healthiest life, and we're committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes. Telecommuting Requirements As a remote worker, you'll be required to adhere to blithequark's Telecommuter Policy, ensuring the security and confidentiality of company-sensitive documents. You'll need to have a dedicated work area established that is separated from other living areas and provides information privacy. A high-speed internet connection is also required. Compensation and Benefits The hourly range for this role is $16.54 - $32.55 per hour, based on several factors including local labor markets, education, work experience, certifications, etc. blithequark complies with all minimum wage laws as applicable. Join Our Team If you're passionate about delivering exceptional customer service and making a difference in the lives of healthcare providers and their patients, we want to hear from you. Apply now to join blithequark and start doing your life's best work. blithequark is an Equal Employment Opportunity/Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. We look forward to welcoming you to our team! Apply for this job